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CCORT is funded by a Canadian Institutes of Health Research Team Grant in Cardiovascular Outcomes Research

CANHEART is funded by a CIHR Team Grant in Chronic Disease Risk & Intervention Strategies

Canadian CABG Quality Indicators

This project was funded by the Heart and Stroke Foundation of Canada. The goals of this project were to develop a set of quality indicators for isolated coronary artery bypass graft (CABG) surgery that relate to quality of care and/or preventable death. Quality of Care relates to the overall level of care received by a patient in comparison to the gold standard using all available evidence to date. Preventable Death is defined as a death that could have been avoided if perfect care including all available evidence based practices had been employed. This quality indicator set was developed to help monitor and improve the delivery of care in Canada for CABG surgery.

In our public healthcare system, where there are limited resources for collecting data, we have tried to identify the most important variables that every institution in Canada should be collecting to monitor quality of care. The best evidence available has been employed in selecting each variable. The list of potential quality indicators to be evaluated has been collated from other health systems that have embarked on continuous quality improvement efforts including: Society For Thoracic Surgery Database, Northern New England Cardiovascular Disease Study Group, and the Process, Structure, and Outcome Study from the Veteran’s Affairs System. As well the list has been constructed from practice guidelines from the American College of Cardiology and American Heart Association from June 2001 and a med-line search of the available literature.

This set of quality indicators includes variables that are classified as patient outcomes, processes of care, and structure related. The quality indicators were selected using a modified Delphi paneling process, with each listed indicator being selected by consensus. Expert panel members included clinicians and healthcare methodologists from Canada and the US.

The
Canadian CABG Surgery Quality Indicators are currently under review for publication.